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It is estimated that around 75% of clients at residential treatment programs for drug and alcohol addiction are smokers. While it is true that nicotine is an addictive substance and clients in any sort of treatment for addiction should strive to be free from all addictive substances, this can present problems that make enforcing a smoking ban outweigh the benefits of this restriction. Someone who is addicted to a substance as life threatening as drugs and alcohol might not agree to go to treatment if they must quit smoking cigarettes, so many facilities in Diomede allow smoking with certain limitations, restrictions and in designated areas of their facility.
Some programs permit clients to smoke anywhere, provides it is outdoors for instance. Some rehab centers have a designated smoking area, which is the only area that clients can smoke. Due to the fact that nicotine is addictive, even treatment facilities that have a designated area and allow smoking commonly introduce alternatives to smoking if the client wants to quit, such as nicotine patches, nicotine gum and prescriptions. There are also programs which permit smoking in designated areas, but educate clients on the health risks associated with smoking by incorporating this into their program either by way of direct education or by providing informational literature for clients to examine. In facilities which permit smoking in designated areas this is sometimes only allowed for clients, whereas staff are often banned from smoking at the facility or are encouraged to not smoke in front of clients.
Publicly funded drug treatment programs are obligated by the rules and restrictions in regards to smoking that are imposed by state and federal agencies which oversee and administer these programs. Private treatment programs have a little more leeway and don't have as many rules imposed on them, so may be more likely to offer designated areas for smoking.
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